Isaac Okechukwu Okoye, R.PH
Individual provider Active NPI Pharmacist · Pinon, AZ
NPI 1114257565 · NPPES record last updated Jan 7, 2010
Key facts
- NPI
- 1114257565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03316871 (OH)
- Practice address
- Pinon Route 4
At Pinon Pharmacy
Pinon, AZ 85610 - Phone
- (928) 725-9500
- Fax
- (928) 725-9542
- NPI assigned
- Jan 7, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03316871 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03316871 | OH | Yes |
Addresses
Primary practice location
Pinon Route 4
At Pinon Pharmacy
Pinon, AZ 85610
Mailing address
19450 Lorain Rd
Apt # 210W
Fairview Park, OH 44126-1975
Phone (440) 356-1073
Other providers in Pinon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.